Individual
CAMERANN JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
409 E MARIE GAUTIER BLVD, AMES, OK 73718
(580) 747-7974
Mailing address
PO BOX 626, AMES, OK 73718-0626
(580) 747-7974
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
—
—
Other
Enumeration date
01/03/2014
Last updated
01/03/2014
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